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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423965
Report Date: 09/10/2024
Date Signed: 09/10/2024 11:16:52 AM

Document Has Been Signed on 09/10/2024 11:16 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:FIERRO, LAURAFACILITY NUMBER:
013423965
ADMINISTRATOR/
DIRECTOR:		LAURA FIERROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 599-3234
CITY:BERKELEYSTATE: CAZIP CODE:
94702
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
09/10/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Laura FierroTIME VISIT/
INSPECTION COMPLETED:
11:16 AM
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On 09/10/2024 at 10:00 AM, Licensing Program Managers (LPMs) Monica Mathur and Sherelle Johnson, and Licensing Program Analysts (LPAs) Christina Watts and Diana Campos conducted an Office Meeting with licensee, Laura Fierro. LPA Campos was present to translate for applicant Laura Fierro.

The purpose of this meeting is to discuss with licensee, Laura Fierro:

1) Departmental policies and procedures for prelicensing and expectations for new licensee.

2) Communication expectations between applicant and CCLD.

3) Discussing changes in on limit/off limit areas.

4) Meaning and interpretation of Conduct Inimical.

Licensee stated they understand what has been discussed in this office meeting and stated she will stay in compliance. During today's office visit, license was issued and licensee received license.

Exit interview conducted with licensee Laura Fierro and signed the report acknowledging receipts of report.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE: DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/10/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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